Organization
COUNTY OF MCKINLEY
Active
Other names
Thoreau Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E. LEE (COUNTY MANAGER)
(505) 863-1400
Entity
Organization
Contact information
Practice address
#65 1ST STREET, THOREAU, NM 87323
(505) 862-7482
(505) 862-7486
Mailing address
PO BOX 70, GALLUP, NM 87305-0070
(505) 863-1400
(505) 863-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
341600000
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R4623
—
NM
Enumeration date
07/09/2015
Last updated
07/09/2015
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